author_facet Merlo, Daniel
Darby, David
Kalincik, Tomas
Butzkueven, Helmut
van der Walt, Anneke
Merlo, Daniel
Darby, David
Kalincik, Tomas
Butzkueven, Helmut
van der Walt, Anneke
author Merlo, Daniel
Darby, David
Kalincik, Tomas
Butzkueven, Helmut
van der Walt, Anneke
spellingShingle Merlo, Daniel
Darby, David
Kalincik, Tomas
Butzkueven, Helmut
van der Walt, Anneke
Therapeutic Advances in Neurological Disorders
The feasibility, reliability and concurrent validity of the MSReactor computerized cognitive screening tool in multiple sclerosis
Neurology (clinical)
Neurology
Pharmacology
author_sort merlo, daniel
spelling Merlo, Daniel Darby, David Kalincik, Tomas Butzkueven, Helmut van der Walt, Anneke 1756-2864 1756-2864 SAGE Publications Neurology (clinical) Neurology Pharmacology http://dx.doi.org/10.1177/1756286419859183 <jats:sec><jats:title>Background:</jats:title><jats:p> Multiple sclerosis (MS) cognitive tests are resource intensive and limited by practice effects that prevent frequent retesting. Brief, reliable and valid monitoring tools are urgently needed to detect subtle, subclinical cognitive changes in people with MS. Cognitive monitoring over time could contribute to a new definition of disease progression, supplementing routine clinical monitoring. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> MSReactor is a web-based battery that measures psychomotor (processing) speed, visual attention and working memory, using simple reaction time tasks. Clinic-based tasks were completed at baseline and 6 monthly with home testing 1–3 monthly. Acceptability, quality of life, depression and anxiety surveys were completed. We studied its correlation with the Symbol Digit Modalities Test, practice effects, test–retest reliability and the discriminative ability of MSReactor. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> A total of 450 people with MS were recruited over 18 months, with 81% opting to complete home-based testing. Most participants (96%) would be happy (or neutral) to repeat the tasks again and just four reported the tasks made them ‘very anxious’. Persistence of home testing was high and practice effects stabilized within three tests. MSReactor tasks correlated with Symbol Digit Modalities Test scores and participants with MS performed slower than healthy controls. </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> MSReactor is a scalable and reliable cognitive screening tool that can be used in the clinic and remotely. MSReactor task performance correlated with another highly validated cognitive test, was sensitive to MS and baseline predictors of cognitive performance were identified. </jats:p></jats:sec> The feasibility, reliability and concurrent validity of the MSReactor computerized cognitive screening tool in multiple sclerosis Therapeutic Advances in Neurological Disorders
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title The feasibility, reliability and concurrent validity of the MSReactor computerized cognitive screening tool in multiple sclerosis
title_unstemmed The feasibility, reliability and concurrent validity of the MSReactor computerized cognitive screening tool in multiple sclerosis
title_full The feasibility, reliability and concurrent validity of the MSReactor computerized cognitive screening tool in multiple sclerosis
title_fullStr The feasibility, reliability and concurrent validity of the MSReactor computerized cognitive screening tool in multiple sclerosis
title_full_unstemmed The feasibility, reliability and concurrent validity of the MSReactor computerized cognitive screening tool in multiple sclerosis
title_short The feasibility, reliability and concurrent validity of the MSReactor computerized cognitive screening tool in multiple sclerosis
title_sort the feasibility, reliability and concurrent validity of the msreactor computerized cognitive screening tool in multiple sclerosis
topic Neurology (clinical)
Neurology
Pharmacology
url http://dx.doi.org/10.1177/1756286419859183
publishDate 2019
physical 175628641985918
description <jats:sec><jats:title>Background:</jats:title><jats:p> Multiple sclerosis (MS) cognitive tests are resource intensive and limited by practice effects that prevent frequent retesting. Brief, reliable and valid monitoring tools are urgently needed to detect subtle, subclinical cognitive changes in people with MS. Cognitive monitoring over time could contribute to a new definition of disease progression, supplementing routine clinical monitoring. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> MSReactor is a web-based battery that measures psychomotor (processing) speed, visual attention and working memory, using simple reaction time tasks. Clinic-based tasks were completed at baseline and 6 monthly with home testing 1–3 monthly. Acceptability, quality of life, depression and anxiety surveys were completed. We studied its correlation with the Symbol Digit Modalities Test, practice effects, test–retest reliability and the discriminative ability of MSReactor. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> A total of 450 people with MS were recruited over 18 months, with 81% opting to complete home-based testing. Most participants (96%) would be happy (or neutral) to repeat the tasks again and just four reported the tasks made them ‘very anxious’. Persistence of home testing was high and practice effects stabilized within three tests. MSReactor tasks correlated with Symbol Digit Modalities Test scores and participants with MS performed slower than healthy controls. </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> MSReactor is a scalable and reliable cognitive screening tool that can be used in the clinic and remotely. MSReactor task performance correlated with another highly validated cognitive test, was sensitive to MS and baseline predictors of cognitive performance were identified. </jats:p></jats:sec>
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author Merlo, Daniel, Darby, David, Kalincik, Tomas, Butzkueven, Helmut, van der Walt, Anneke
author_facet Merlo, Daniel, Darby, David, Kalincik, Tomas, Butzkueven, Helmut, van der Walt, Anneke, Merlo, Daniel, Darby, David, Kalincik, Tomas, Butzkueven, Helmut, van der Walt, Anneke
author_sort merlo, daniel
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description <jats:sec><jats:title>Background:</jats:title><jats:p> Multiple sclerosis (MS) cognitive tests are resource intensive and limited by practice effects that prevent frequent retesting. Brief, reliable and valid monitoring tools are urgently needed to detect subtle, subclinical cognitive changes in people with MS. Cognitive monitoring over time could contribute to a new definition of disease progression, supplementing routine clinical monitoring. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> MSReactor is a web-based battery that measures psychomotor (processing) speed, visual attention and working memory, using simple reaction time tasks. Clinic-based tasks were completed at baseline and 6 monthly with home testing 1–3 monthly. Acceptability, quality of life, depression and anxiety surveys were completed. We studied its correlation with the Symbol Digit Modalities Test, practice effects, test–retest reliability and the discriminative ability of MSReactor. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> A total of 450 people with MS were recruited over 18 months, with 81% opting to complete home-based testing. Most participants (96%) would be happy (or neutral) to repeat the tasks again and just four reported the tasks made them ‘very anxious’. Persistence of home testing was high and practice effects stabilized within three tests. MSReactor tasks correlated with Symbol Digit Modalities Test scores and participants with MS performed slower than healthy controls. </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> MSReactor is a scalable and reliable cognitive screening tool that can be used in the clinic and remotely. MSReactor task performance correlated with another highly validated cognitive test, was sensitive to MS and baseline predictors of cognitive performance were identified. </jats:p></jats:sec>
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spelling Merlo, Daniel Darby, David Kalincik, Tomas Butzkueven, Helmut van der Walt, Anneke 1756-2864 1756-2864 SAGE Publications Neurology (clinical) Neurology Pharmacology http://dx.doi.org/10.1177/1756286419859183 <jats:sec><jats:title>Background:</jats:title><jats:p> Multiple sclerosis (MS) cognitive tests are resource intensive and limited by practice effects that prevent frequent retesting. Brief, reliable and valid monitoring tools are urgently needed to detect subtle, subclinical cognitive changes in people with MS. Cognitive monitoring over time could contribute to a new definition of disease progression, supplementing routine clinical monitoring. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> MSReactor is a web-based battery that measures psychomotor (processing) speed, visual attention and working memory, using simple reaction time tasks. Clinic-based tasks were completed at baseline and 6 monthly with home testing 1–3 monthly. Acceptability, quality of life, depression and anxiety surveys were completed. We studied its correlation with the Symbol Digit Modalities Test, practice effects, test–retest reliability and the discriminative ability of MSReactor. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> A total of 450 people with MS were recruited over 18 months, with 81% opting to complete home-based testing. Most participants (96%) would be happy (or neutral) to repeat the tasks again and just four reported the tasks made them ‘very anxious’. Persistence of home testing was high and practice effects stabilized within three tests. MSReactor tasks correlated with Symbol Digit Modalities Test scores and participants with MS performed slower than healthy controls. </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> MSReactor is a scalable and reliable cognitive screening tool that can be used in the clinic and remotely. MSReactor task performance correlated with another highly validated cognitive test, was sensitive to MS and baseline predictors of cognitive performance were identified. </jats:p></jats:sec> The feasibility, reliability and concurrent validity of the MSReactor computerized cognitive screening tool in multiple sclerosis Therapeutic Advances in Neurological Disorders
spellingShingle Merlo, Daniel, Darby, David, Kalincik, Tomas, Butzkueven, Helmut, van der Walt, Anneke, Therapeutic Advances in Neurological Disorders, The feasibility, reliability and concurrent validity of the MSReactor computerized cognitive screening tool in multiple sclerosis, Neurology (clinical), Neurology, Pharmacology
title The feasibility, reliability and concurrent validity of the MSReactor computerized cognitive screening tool in multiple sclerosis
title_full The feasibility, reliability and concurrent validity of the MSReactor computerized cognitive screening tool in multiple sclerosis
title_fullStr The feasibility, reliability and concurrent validity of the MSReactor computerized cognitive screening tool in multiple sclerosis
title_full_unstemmed The feasibility, reliability and concurrent validity of the MSReactor computerized cognitive screening tool in multiple sclerosis
title_short The feasibility, reliability and concurrent validity of the MSReactor computerized cognitive screening tool in multiple sclerosis
title_sort the feasibility, reliability and concurrent validity of the msreactor computerized cognitive screening tool in multiple sclerosis
title_unstemmed The feasibility, reliability and concurrent validity of the MSReactor computerized cognitive screening tool in multiple sclerosis
topic Neurology (clinical), Neurology, Pharmacology
url http://dx.doi.org/10.1177/1756286419859183